Provider Demographics
NPI:1043347636
Name:MILLER, PAIGE E (DMD)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:E
Last Name:MILLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 W BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5070
Mailing Address - Country:US
Mailing Address - Phone:610-865-2375
Mailing Address - Fax:610-865-0632
Practice Address - Street 1:1017 W BROAD STREET
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5070
Practice Address - Country:US
Practice Address - Phone:610-865-2375
Practice Address - Fax:610-865-0632
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027059L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice